Individual provider Active NPI

Patrick S Bucayu, APRN

  • Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1598379760
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3016017 Issued in KY
Practice address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone
(812) 282-3899
Fax
(812) 282-4172
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1118082 KY
Acute Care Nurse Practitioner 363LA2100X 3016017 KY
Gerontology Nurse Practitioner 363LG0600X 3016017 KY
Nurse Practitioner 363L00000X 3016017 KY Primary

Addresses

Primary practice location

101 Hospital Blvd
Jeffersonville, IN 47130-3769

Mailing address

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210420000962 KY Practitioner - Nurse Practitioner 8729496385 Reassigns benefits to 1 organization
I20210618000875 IN Practitioner - Nurse Practitioner 8729496385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Urology PSCGroup PAC ID 3779572888, 56 clinicians

Practice addresses (Care Compare)

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

1919 State St
Suite 205
New Albany, IN 47150-6805
Phone (812) 941-0443

3 Audubon Plaza Dr
L10
Louisville, KY 40217-1362
Phone (502) 584-0651

300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129

3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899

5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1118082KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Urology, PSC Nurse Practitioner CurrentSince Apr 12, 2021 Accepting new patients

Locations

3431 Solutions Ctr
Chicago, IL 60677

101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196

1919 State St
Ste 205
New Albany, IN 47150
Phone (812) 941-0443

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116

5120 Dixie Hwy
Ste 105
Louisville, KY 40216
Phone (502) 448-5509

3 Audubon Plaza Dr
Ste L10
Louisville, KY 40217
Phone (502) 636-2800

2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610

300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595

515 Hospital Dr
Ste 3
Shelbyville, KY 40065
Phone (502) 633-2661

115 Huston Dr
Shepherdsville, KY 40165
Phone (502) 365-2655

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1598379760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL BLVD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303769",
            "telephone_number": "812-282-3899",
            "fax_number": "812-282-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL BLVD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303769",
            "telephone_number": "812-282-3899",
            "fax_number": "812-282-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCAYU",
        "first_name": "PATRICK",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1118082",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3016017",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3016017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.